Individual provider Active NPI

Roberta Miriam McElfresh, P.T.

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1740475144
Registry record updated Sep 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTOK674 Issued in OK
Practice address
5914 S Pittsburg Ave
Tulsa, OK 74135-4217
Phone
(918) 747-1741
NPI assigned
Sep 9, 2007
Last updated
Sep 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTOK674 OK Primary

Addresses

Primary practice location

5914 S Pittsburg Ave
Tulsa, OK 74135-4217

Mailing address

5914 S Pittsburg Ave
Tulsa, OK 74135-4217
Phone (918) 747-1741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTOK674OKMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189296000000",
    "number": "1740475144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5914 S PITTSBURG AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354217",
            "telephone_number": "918-747-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5914 S PITTSBURG AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354217",
            "telephone_number": "918-747-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELFRESH",
        "first_name": "ROBERTA",
        "middle_name": "MIRIAM",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-09",
        "last_updated": "2007-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PTOK674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.